MS. CAROLYN A. BAUER (NPI# 1710137658) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710137658 |
| Entity Type | Individual |
| Full Name | MS. CAROLYN A. BAUER |
| Credential | PA-C |
| Practice Address |
1651 Galisteo St Ste 8 Santa Fe NM 87505-4752 |
| Mailing Address |
Po Box 2136 Skyland NC 28776-2136 |
| Practice Telephone | 5058209870 |
| Practice Fax Number | 5059831265 |
| Mailing Telephone | 8283502163 |
| Mailing Fax Number | 8283502174 |
| Enumeration Date | 2008-09-29 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA20080043 | NM | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
PA2008-0043 | NM | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 5901 Harper Dr Ne, Pmg Urgent Care Northside, Albuquerque, NM 87109 | 5058238888 | 5058238243 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649669383 | Carolyn Bauer | Speech-Language Pathologist | 610 Plaza Dr, Fostoria, OH 44830-1354 | 2015-01-19 |
| 1376759019 | Carolyn Ann Bauer | Internal Medicine | 111 E 210th St, Bronx, NY 10467-2401 | 2007-05-16 |
| Street Address |
1651 GALISTEO ST STE 8 |
| City | SANTA FE |
| State | NM |
| Zip Code | 87505-4752 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417247727 | Corey D Clay | Allergy & Immunology | 1651 Galisteo St Ste 8, Santa Fe, NM 87505-4752 | 2011-04-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154939031 | Enchanted Sky Hospice,llc | Hospice Care, Community Based | 1692b Hospital Drive, Vigil Office Building, Suite 201a, Santa Fe, NM 87505 | 2020-07-16 |
| 1700409968 | Caa Consulting, LLC | Clinic/Center | 1448 S St. Francis Drive, Santa Fe, NM 87505 | 2020-05-22 |
| 1104447093 | Dana Marie Tsyconyea Simmons | Counselor | 1640 Calle Medico, Suite E, Santa Fe, NM 87505 | 2020-05-01 |
| 1114574217 | Kumara Hampton Therapy, LLC | Counselor | 11 Calle Medico Suite 4, Santa Fe, NM 87505 | 2019-08-22 |
| 1245886977 | Caroline Ward | Technician | 513 Velarde St 513 Velarde St, Santa Fe, NM 87505 | 2019-08-19 |
| 1205490752 | Alyson Yacono | Physical Therapist | 104 Old Las Vegas Highway, Santa Fe, NM 87505 | 2019-04-30 |
| 1366919649 | Allyson Matthews | Speech-Language Pathologist | Santa Fe Public Schools Special Education Department, 1300 Camino Sierra Vista, Santa Fe, NM 87505 | 2018-10-25 |
| 1093280281 | Diamond Care Santa Fe LLC | Skilled Nursing Facility | 635 Harkle Road, Santa Fe, NM 87505 | 2018-10-04 |
| 1972087054 | Changing Woman Initiative | Advanced Practice Midwife | 460 Saint Michaels Drive, Suite 804, Santa Fe, NM 87505 | 2018-09-24 |
| 1154812782 | Heart Wing, LLC | Social Worker | 2724 Alamosa Drive, Santa Fe, NM 87505 | 2018-05-18 |
| Find all providers in zip 87505 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427680750 | Mckenzi Hoffman | Physician Assistant | 465 Saint Michaels Dr Bldg Suite107, Santa Fe, NM 87505-7670 | 2020-02-05 |
| 1194172817 | Jessica Curtin | Physician Assistant | 1640 Old Pecos Trl Ste H, Santa Fe, NM 87505-4777 | 2016-05-23 |
| 1003132093 | Mitchell Constant | Physician Assistant | 1640 Old Pecos Trail, Suite H, Health Front, PC, Santa Fe, NM 87505 | 2010-04-15 |
| 1851572655 | Claire Joan Antoszewski | Physician Assistant | 453 1/2 Amado St, Santa Fe, NM 87501-3700 | 2007-11-20 |
| 1801086111 | Georgette M Cooper | Physician Assistant | 1301 Declovina St, Santa Fe, NM 87505-3215 | 2007-08-01 |
| 1053398636 | Kimberly A Berge | Physician Assistant | 433 St Michaels Dr, Santa Fe, NM 87505 | 2005-12-27 |
| 1194389247 | Alyssa K Broatch | Physician Assistant | 455 Saint Michaels Dr, Santa Fe, NM 87505-7601 | 2019-04-24 |
| 1043795909 | Darina Linnik | Physician Assistant | 1631 Hospital Dr Ste 240, Santa Fe, NM 87505-7691 | 2018-09-26 |
| 1497266019 | Lisa Ann Wermeling | Physician Assistant | 465 Saint Michaels Dr Ste 116, Santa Fe, NM 87505-7621 | 2017-10-23 |
| 1700308871 | Jessica Wood | Physician Assistant | 2019 Galisteo St Ste N9b, Santa Fe, NM 87505-2111 | 2017-07-11 |
| Find all providers in SANTA FE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.